Surgical Manual
The Uniti implant system is designed to be simple to learn and use. A seamless surgical protocol renders the system user friendly. For the experienced practitioner it will take no more than a few moments to understand the system and adapt to its use. For practitioners new to implantology the surgical protocols are easy to learn and safe to implement. The surgical kit is compact, well laid out and communicative in terms of drilling sequence. Several innovative features like removable drill depth stops, bonesaver drills and a colour code that covers all surgical and restorative components make the system unique. Designed as well for optimal collaboration with your chair side assistant and laboratory technician, your surgical experience will be enriched.
Lengths & diameters The BoneSaver TM Drills The system offers a five diameter choice of, D 3.7mm, D 4.3mm, D 5.3mm and D 6.0mm. Each implant diameter is available in lengths of 10mm, 13mm and 15mm. The choice of implant diameters facilitates anatomic driven diameter selection and restoration of missing teeth to the highest functional and aesthetic standards. The high precision drills of the Uniti system are internally irrigated with a unique flute design. The sharpness and precise cutting flutes of the drills allow atraumatic cutting of bone and ensure precise and tolerance matched osteotomy sites. The drills have colour coded collars and removable depth stoppers corresponding to the implant diameters for which they are to be used. D 3.3 D 3.7 D 4.3 D 5.3 D 6.0 L 10 L 13 L 15 The Colour Code The, and D 3.7mm drills are universal drills while the D 4.3mm, D 5.3mm and D 6.0mm drills are available in individual sizes that correspond ond to the three implant lengths. The Bonesaver drills are designed such that at slow speeds they collect significant amounts of bone chips between the drill flutes. These bone chips could be saved and utilized with or without the addition of an osteoconductive material for augmentation purposes. The system utilises a colour code to designate the diameter of all surgical and prosthetic components in the system ranging from Implant packaging, cover screws, healing abutments, impression posts, laboratory analogs and the entire range of abutments. This colour code virtually eliminates component size identification difficulties and ensures error free communication between surgeon, restoring dentist and the dental laboratory.
The Surgical Kit drill with removable depth stoppers 10mm, 13mm & 15mm drill with removable depth stoppers 10mm, 13mm & 15mm D 3.7mm drill with removable depth stoppers 10mm,13mm & 15mm D 4.3mm Drill set L 10mm L13mm L 15mm with removable depth stopper D 5.3mm Drill set L 10mm L13mm L 15mm with removable depth stopper D 6.0mm Drill set L 10mm L13mm L 15mm with removable depth stopper s and Uniti pins Uniti Surgical ratchet Uniti Hand drivers 1.2mm short and long Uniti Hand driver slotted Used component receptacle Uniti Hexed Implant drivers short and long
Extra Surgical Accessories for Surgical Kit Uniti Torque ratchet The Drill Sequence (Simulated placement of an L 15mm Implant) The Uniti Torque ratchet is a part of the Uniti Prosthetic kit and is recommended predominantly for torque fastening of abutment screws. It is also available separately and can be used in conjunction with the Torque Hexed Implant driver for surgical placement of Implants by dentists who would like to use torque instruments for surgical placements. The Uniti Torque ratchet is precise and simple to use and offers torque settings from 0-35Ncm. The desired torque is set by simply turning the ratchet handle to the desired torque value indicated by laser markings. During use or application the ratchet will simply click or disengage at the precise torque setting that had been pre-set. The recommended torque setting for fastening Uniti abutment screws is between 22-23Ncm. The ratchet torque setting can be locked to exceed torque of 35Ncm and be used routinely in surgery as well. The Instructions for use, cleaning, lubrication and maintenance must be followed explicitly in order to ensure long-term predictable use of this instrument. Torque controlled Implant Hexed Driver D 3.7mm to D 6.0mm D 3.3 D 3.7 pilot drill pilot drill pin 2.0mm pin 2.0mm drill upto 15mm drill upto 15mm pin pin D 3.3 L 15 Implant with cover screw D 3.7mm drill D 3.7 L 15mm Implant with cover screw PLEASE NOTE D 3.3 IMPLANTS TO BE USED ONLY FOR SINGLE CROWN IN THE ANTERIOR MANDIBLE AND MAXILLA. D3.3 IMPLANTS MUST NOT BE USED FOR OVERDENTURES AND COMPONENTS FOR THIS APPLICATION IN THIS DIAMETER WILL NOT BE MADE AVAILABLE. Handpiece/Engine driven Drivers The Surgical Kit contains all the Hexed Implant drivers and a ratchet for manual/hand insertion of the implants into the osteotomy site. Implantologists who prefer to use engine driven instruments for implant insertion can order the below accessories for this application. D 4.3 pilot drill pin 2.0mm drill upto 15mm pin D 3.7mm drill D 4.3mm drill D 4.3 L 15mm Implant with cover screw Uniti Handpiece Hexed Implant driver short - universal Uniti Handpiece Hexed Implant driver long - universal Uniti Handpiece Hexed Implant driver short - Uniti Handpiece Hexed Implant driver long - D 5.3 pilot drill pin 2.0mm drill upto 15mm pin D 3.7mm drill D 4.3mm drill D 5.3mm drill D 5.3 L 15mm Implant with cover screw The surgical kit also contains Hand held hexed drivers for opening and closing of cover screws, healing abutment screws, impression post and abutment screws. Implantologists who prefer to use an engine driven instrument for the above can order as an accessory the Uniti handpiece hexed driver 1.22mm for this application. D 6.0 pilot drill pin 2.0mm drill upto 15mm pin D 3.7mm drill D 4.3mm drill D 5.3mm drill D 6.0mm drill D 6.0 L 15mm Implant with cover screw
Delayed Placement Surgical Sequence (D 4.3mm L 13mm implant) Delayed Placement Clinical Case (edentulous mandible for bar constructed overdenture) A full thickness mucoperiosteal flap is raised to expose the osteotomy site. The pilot drill is used to establish depth and axis of drilling. The next drill in the sequence is the drill upto the same depth as established by the pilot drill. Slight correction of axis/direction is possible with this drill. 1 2 3 Pilot drill to establish depth and axis of drilling - in this case L 15mm Next drill in the sequence to progressively widen upto the same depth. Slight corrections of axis can be performed with this drill An overview of the completed osteotomy sites upto a diameter of This is followed by the D 3.7mm drill only to progressively widen the osteotomy site to the same depth and in the same direction as the previous drills in the sequence. The final drill in this simulation is the D 4.3mm drill placed upto a depth of 13mm to complete the osteotomy site. The completed osteotomy site is normally devoid of residual bone chips due to the active internal cooling through the drills. The site can be flushed with normal saline and isolated before placement of the implant. 4 5 6 Progressive widening of the mesial osteotomies upto D 3.7mm and the distal sites upto D 4.3mm Mesial 3.7 Completed Implant sites D 3.7mm mesial and D 4.3 distal Implant inserted partially by the implant carriers 7 8 9 Ratchet and Hexed Implant driver inserted to ratchet implants into final seating position Implants primary stable and seated flush to crestal level Colour coded cover screw in place D 3.7mm yellow and D 4.3mm red The implant is removed from the vial and placed in the osteotomy site using the Implant carrier. The implant driver engages the internal hexagon of the implant while the other end is inserted into the ratchet to progressively screw the implant to its final seating position. The cover screw is placed into the implant in order to hermetically seal the implant during the osseointegration period.
Immediate Placement Surgical Sequence (D 6.0mm L 15mm implant) Immediate Placement Flapless Clinical Case (single tooth with custom healing Biotemp abutment) pilot drill placed at a 5-10 degree palatal angulation 2-3mm beyond the socket wall in order to establish primary stability. drill in the same axis and depth as the pilot drill in relation to the buccal cortical bone crest. The next step in the surgical sequence is the D 3.7mm drill in the same axis upto a 15mm length. Flapless Immediate placement with Biotemp abutment in place Biotemp is cut to a level that supports the proximal and labial soft tissue zeniths, custom healing abutment fabricated in composite resin to passively support soft tissue D 4.3mm drill in the same axis progressively widening upto a 15mm length. D 5.3mm drill in the same axis without touching the buccal cortical plate upto a length of 15mm. D 6.0mm final drill just touching the buccal plate upto a length of 15mm. Temporisation with a palatally bonded splinted restoration Healed situation 4 months post-operative Labial view of soft tissue contours around the Zirconix abutment Completed case with all ceramic crown in place Implant delivered to the osteotomy site using the carrier. The Hexed Implant driver inserted into the implant and ratcheted into its final seating position. A custom made healing abutment using the Biotemp abutment seated in place.
Bone Condensers The Bone condenser/internal sinus lift offers a less invasive alternative to a conventional open sinus lift/graft in borderline situations where you need to raise the sinus floor by 1 to 3mm. The internal sinus lift is usually performed using osteotomes/bone condensers that are tapped by a mallet through the osteotomy site, infracturing the sinus floor and elevating the sinus lining for upto 3mm. The concave tip of the condenser instrument also ensures that you transport bone that you would normally drill away, apically into the sinus lift area to surround the implant. These procedures are normally carried out by generically available sized osteotomes that are provided by various instrument manufacturers. Bone Expanders The availability of bone for placement of a dental implant is often limited due to alveolar resorption patterns. In the maxilla it is often possible to expand bone by using ridge split or ridge expansion techniques. Such techniques take advantage of the lability of alveolar bone and the potential for expansion of cortical plates and condensation of cancellous spaces. The Uniti system offers you a precise tolerance matched, colour coded set of instruments to carry out this procedure in a more precise and controlled manner ensuring a close fit of the implant into the osteotomy site. Bone condensers can also be used for preparing osteotomy sites in the maxilla in areas of D3 and D4 rarefied bone trabaculae sites. By condensing instead of drilling you achieve a more dense area of bone surrounding the implant leading to a higher percentage bone to implant contact that translates to enhanced osseointegration values. While the volume of bone is itself increased by such techniques, often the quality of bone is also enhanced. Uniti bone expanders provide a customised solution for maxillary bone expansion that is uniquely compatible with the implant system. They allow atraumatic bone expansion with their rounded tips and along with Uniti bone condensers, they provide the Uniti user with solutions for deficient bone, allowing accurate and predictable bone manipulation. The distinct advantages of using condensers as opposed to drilling in the above indications are: The procedure is less invasive and the risk of damage to the sinus lining is minimized These procedure generate less heat than drilling A more dense area of bone is created to surround the Implant A greater sense of tactile sensation exists as compared to drilling In one single procedure you can achieve lateral condensation, expansion and sinus floor elevation in borderline cases
Immediate Placement Flapless Clinical Case Uncovery (single tooth with Biotemp immediate provisionalisation) The Uniti healing abutments or gingivaformers are available in two heights standard & long. The standard gingivaformer caters to soft tissue heights of 1-3mm and the long gingivaformers are indicated for soft tissue heights of 3-5mm. D 4.3mm Gingivaformer standard & long Gingivaformers can be utilized immediately after Implant placement in cases where an Implantologist would want to adopt a single stage surgical protocol. Immediate flapless Implant in place with Biotemp prepped for provisionalisation Provisional in Hybrid composite resin at surgery The flare of the gingivaformer is matched to the flare of the prosthetic abutment collar. Gingivaformers in progressive diameters, D 3.7mm, D 4.3mm, D 5.3mm & D 6.0mm Healed situation 4 months post-operatively Healed tissue soft tissue emergence profile The Biotemp is an alternative to prepare a custom healing abutment for the esthetic zone. The Biotemp PEEK abutment can also be used for immediate & delayed provisionalisation and progressive bone loading in the posterior maxilla for sinus graft cases. All ceramic crown on a Zirconix abutment at try-in Post-op result with an all ceramic crown in place Biotemp abutments in progressive diameters D 3.7mm, D 4.3mm, D 5.3mm & D 6.0mm
Packaging & Delivery The Uniti implant system has adopted an intelligent and elegant colour coding and packaging system to simplify the storage and use of implants and components. A colour is assigned to each implant diameter. The same colour is used to code all packaging, implant components and instruments specific to that diameter. The diameters of the Uniti System are assigned the following colour codes: D 3.3 D 3.7 D 4.3 D 5.3 D 6.0 The Uniti packaging system complies with relevant international standards and offers the maximum possible ease of use and safety. All implants are sterilised by gamma radiation and packaged in a double sterile blister. The outer carton is tamper proof with a perforated opening flap. The barcode label on the carton as well as on the blister carries product specifications, expiry date and batch numbers with a peel off label to store specifications on patient records. The blister also carries a red gamma sterilisation sticker indicating sterility of the product.
Re-order Information Uniti Implant L 10mm Uniti Implant L 13mm Uniti Implant L 15mm Uniti Implant D 3.7mm L 10mm Uniti Implant D 3.7mm L 13mm Uniti Implant D 3.7mm L 15mm Uniti Implant D 4.3mm L 10mm Uniti Implant D 4.3mm L 13mm Uniti Implant D 4.3mm L 15mm Uniti Implant D 5.3mm L 10mm Uniti Implant D 5.3mm L 13mm Uniti Implant D 5.3mm L 15mm Uniti Implant D 6.0mm L 10mm Uniti Implant D 6.0mm L 13mm Uniti Implant D 6.0mm L 15mm Uniti cover screw Uniti cover screw D 3.7mm Uniti cover screw D 4.3mm Uniti cover screw D 5.3mm Uniti cover screw D 6.0mm Uniti Surgical kit complete Uniti Surgical kit box (empty) Uniti Universal drill Uniti Universal drill Uniti Universal drill D 3.7mm Uniti Drill D 4.3mm L 10mm Uniti Drill D 4.3mm L 13mm Uniti Drill D 4.3mm L 15mm Uniti Drill D 5.3mm L 10mm Uniti Drill D 5.3mm L 13mm Uniti Drill D 5.3mm L 15mm Uniti Drill D 6.0mm L 10mm Uniti Drill D 6.0mm L 13mm Uniti Drill D 6.0mm L 15mm Drill depth stopper L 10mm Drill depth stopper L 13mm Drill depth stopper L 15mm Drill depth stopper L 10mm Drill depth stopper L 13mm Drill depth stopper L 15mm Drill depth stopper D 3.7mm L 10mm Drill depth stopper D 3.7mm L 13mm Drill depth stopper D 3.7mm L 15mm Drill depth stopper D 4.3mm Drill depth stopper D 5.3mm Drill depth stopper D 6.0mm Uniti Surgical ratchet UN013310 UN013313 UN013315 UN013710 UN013713 UN013715 UN014310 UN014313 UN014315 UN015310 UN015313 UN015315 UN016010 UN016013 UN016015 UN323300 UN323700 UN324300 UN325300 UN326000 UN490001 UN530000 UN512000 UN513300 UN513700 UN514310 UN514313 UN514315 UN515310 UN515313 UN515315 UN516010 UN516013 UN516015 UN522210 UN522013 UN522015 UN523310 UN523313 UN523315 UN523710 UN523713 UN523715 UN524300 UN525300 UN526000 UN504101 Uniti Handpiece Hexed Implant driver short - universal Uniti Handpiece Hexed Implant driver long - universal Uniti Handpiece Hexed Implant driver short - Uniti Handpiece Hexed Implant driver long - Uniti Handpiece driver 1.22mm short Uniti Handpiece driver 1.22mm long Uniti Bone Condenser kit complete Uniti Bone condenser tray (empty) Uniti Bone condenser universal Uniti Bone condenser universal Uniti Bone condenser D 3.7mm universal Uniti Bone Condenser D 4.3mm L 10mm Uniti Bone Condenser D 4.3mm L 13mm Uniti Bone Condenser D 4.3mm L 15mm Uniti Bone Condenser D 5.3mm L 10mm Uniti Bone Condenser D 5.3mm L 13mm Uniti Bone Condenser D 5.3mm L 15mm Uniti Bone Condenser D 6.0mm L 10mm Uniti Bone Condenser D 6.0mm L 13mm Uniti Bone Condenser D 6.0mm L 15mm Uniti Bone expander kit complete Uniti Bone expander tray (empty) Uniti Bone expander universal Uniti Bone expander universal Uniti Bone expander D 3.7mm universal Uniti Bone expander D 4.3mm L 10mm Uniti Bone expander D 4.3mm L 13mm Uniti Bone expander D 4.3mm L 15mm Uniti Bone expander D 5.3mm L 10mm Uniti Bone expander D 5.3mm L 13mm Uniti Bone expander D 5.3mm L 15mm Uniti Bone expander D 6.0mm L 10mm Uniti Bone expander D 6.0mm L 13mm Uniti Bone expander D 6.0mm L 15mm Uniti Gingivaformer standard Uniti Gingivaformer long Uniti Gingivaformer D 3.7mm standard Uniti Gingivaformer D 3.7mm long Uniti Gingivaformer D 4.3mm standard Uniti Gingivaformer D 4.3mm long Uniti Gingivaformer D 5.3mm standard Uniti Gingivaformer D 5.3mm long Uniti Gingivaformer D 6.0mm standard Uniti Gingivaformer D 6.0mm long Uniti Biotemp abutment D 3.7mm Uniti Biotemp abutment D 4.3mm Uniti Biotemp abutment D 5.3mm Uniti Biotemp abutment D 6.0mm UN540002 UN540001 UN540004 UN540003 UN540006 UN540005 UN610000 UN610001 UN612000 UN613300 UN613700 UN614310 UN614313 UN614315 UN615310 UN615313 UN615315 UN616010 UN616013 UN616015 UN620000 UN620001 UN622000 UN623300 UN623700 UN624310 UN624313 UN624315 UN625310 UN625313 UN625315 UN626010 UN626013 UN626015 UN333340 UN333360 UN333740 UN333760 UN334340 UN334360 UN335340 UN335360 UN336040 UN336060 UN133700 UN134300 UN135300 UN136000 Uniti Hexed Implant driver short Uniti Hexed Implant driver long UN503101 UN503102 Uniti Biotemp abutment screw universal UN080017 UN500120 UN500133 Uniti pin Uniti Hand driver 1.2mm short Uniti Hand driver 1.2mm long Uniti Hand driver slotted Uniti Torque ratchet Uniti Torque Hexed Implant driver UN501101 UN502101 UN502102 UN502103 UN530003 UN530014 0344 de Stuwdam 25,3815 KM, Amersfoort the Netherlands Tel: +31 33 4793661 Fax: +31 33 4790468 E-mail: info@equinoxmed.com Website: www.equinoxmed.com